Individual provider Active NPI

Marissa Bean

  • Chiropractor
  • Lewisville, TX
National Provider Identifier
1326911017
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16653 Issued in TX
Practice address
475 State Highway 121 Byp Ste 100
Lewisville, TX 75067-8178
Phone
(972) 315-3576
NPI assigned
Sep 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16653 TX Primary

Addresses

Primary practice location

475 State Highway 121 Byp Ste 100
Lewisville, TX 75067-8178

Mailing address

475 State Highway 121 Byp Ste 100
Lewisville, TX 75067-8178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251016000647 TX Practitioner - Chiropractic 1355838061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Healthsource of Lewisville PLLCGroup PAC ID 2961940051, 2 clinicians

Practice addresses (Care Compare)

475 State Hwy 121 Byp
Suite 100
Lewisville, TX 75067-8178
Phone (972) 315-3576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16653TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource of Lewisville PLLC Chiropractor CurrentSince Oct 1, 2025 Accepting new patients
Cni Holistic Wellness Chiropractor CurrentSince Oct 1, 2025 Accepting new patients

Locations

475 State Highway 121 Byp
Ste 100
Lewisville, TX 75067
Phone (405) 420-3049

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1326911017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 STATE HIGHWAY 121 BYP STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 STATE HIGHWAY 121 BYP STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678178",
            "telephone_number": "972-315-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN",
        "first_name": "MARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.